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[目的]分析2003~2013年河南省三级医院食管癌患者病种构成及变化趋势,为食管癌的预防、诊治及专科建设提供参考依据。[方法]收集2003年1月至2013年6月河南省29家三级医院收治的食管癌患者资料,以患者ID号采集病案信息,统计分析患者特征。[结果]①食管癌住院患者共81 659例,占总住院人数的1.21%。男性52 529例,女性29 130例,男女比1.8∶1。②十年间食管癌住院患者数总体趋势平缓,男性患者增加稍快于女性患者。③食管癌住院患者中,食管恶性肿瘤,未特指(C15.9)患者数居首位(55.53%),其次为食管中三分之一恶性肿瘤(C15.4),占26.83%,食管腹部恶性肿瘤(C15.2)患者数最少,占0.02%。病理分型以鳞状食管癌为主(88.44%)。④患者平均年龄为63.14岁,以55~65岁年龄组患者最多(28.29%)。⑤患者主要来自河南省境内,其中河南北部安阳市居首位(18.79%)。[结论]河南省食管癌住院患者在肿瘤类别、性别、年龄、地域分布、病理类型等方面具有一定的规律,应根据这些信息深入开展防治策略研究。
[Objective] To analyze the constitution and trend of disease in esophageal cancer patients from 2003 to 2013 in tertiary hospitals in Henan Province, and provide references for the prevention, diagnosis and treatment of esophageal cancer and construction of specialties. [Methods] The data of patients with esophageal cancer who were admitted to 29 tertiary hospitals in Henan Province from January 2003 to June 2013 were collected. The patient information was collected based on patient ID number and the characteristics of patients were statistically analyzed. [Results] 81 659 hospitalized patients with esophageal cancer, accounting for 1.21% of the total number of hospitalizations. There were 52 529 males and 29 130 females, with a ratio of 1.8 to 1 for men and women. ② The ten-year esophageal cancer inpatients showed a general trend of gentle, male patients slightly faster than female patients. Among the patients with esophageal cancer, the number of esophageal malignant tumors (55.53%) was unspecified (C15.9), followed by one third of esophageal malignancies (C15.4), accounting for 26.83% Abdominal malignancies (C15.2) the least number of patients, accounting for 0.02%. Pathological classification of squamous esophageal cancer (88.44%). The average age of patients was 63.14 years old, with the highest in patients aged 55-65 years (28.29%). ⑤ patients mainly from Henan Province, where the first Henan Anyang City (18.79%). [Conclusion] The inpatients with esophageal cancer in Henan Province have certain regularity in terms of tumor type, sex, age, geographical distribution and pathological type. Based on these information, the prevention and treatment strategies should be further studied.